Pain Modifier 25 Zipinar with Teresa Romano - On-Demand

1 module


Course Length
30 mins

Availity Moderator



Do you bill an office visit (E/M code with a 25 modifier) every time you see a patient in the office and also give an injection? Do you bill it 75% of the time? Do you know how much is too much? 

Medicare and private payers use predictive modeling to see if you may bill this code combination more than your peers. If you do, you may already be on your payer’s audit radar. 

Join us for this Zipinar (30 minutes start to finish!) to learn why payers are concerned about this code combination and how to avoid misuse and overuse.

What you will learn in this Zipinar

  • What is the 25 modifier and what is all the fuss about? 
  • What do CPT and Medicare mean by pre-service time? Do I have to document the minutes I spend on the E/M portion? 
  • What constitutes a separate and significant E/M? Does the documentation make or break when you can use the 25 modifier and bill both the E/M and the injection? 
  • What about new patients? Isn’t it always OK to bill an E/M and the injection?

About the Speaker

Teresa "Teri" Romano, RN, MBA, CPC, CMDP

As a faculty member of the national Society for Vascular Surgery (SVS) coding courses Teri works directly with the CPT advisors on vascular coding and provides accurate coding advice from the official source, as well as information on coding changes that are in the works.

Who should enroll?

  • Interventional pain physicians, PM& R physicians, and other providers who provide interventional pain treatment 
  • Providers, managers, and staff in orthopedic and neurosurgical practices that treat pain 


Important Note Availity cannot issue refunds.


By completing/passing this course, you will attain the certificate of completion


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On-Demand: Pain Modifier 25 Zipinar with Teri Romano
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Added over 1 year ago, by Deborah

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